Fluids Hypertension Syndromes: Migraines, Headaches, Normal ...

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 138
XI- 34) – Incomplete posterior Circle of Willis: “Patients undergoing 3-dimensional time of flight
magnetic resonance angiography...The posterior Circle of Willis was graded as complete when both
posterior communicating arteries and the P1 segments of the posterior cerebral artery were present on
visual examination and incomplete when one of these vessels was missing... Incomplete posterior
Circle of Willis was significantly more common in migraineurs than in the control group (49% vs
18%)...Incomplete posterior Circle of Willis was the sole independent factor associated with migraine
(OR: 6.5). No difference was found between migraineurs with and without aura.” (Bugnicourt J M, and
others).
XI- 35) – High resistance wind instrument playing: Analyzed at chapter XII.
XI- 36) – Sirsasana (Shirshásana) (headstand) yoga posture: Analyzed at chapter XII.
XI- 37) – Tight neckties: Analyzed at chapter XII.
XI- 38) – Valsalva maneuver: Analyzed at chapter XII.
XI- 39) – Weight lifting: Analyzed at chapter XII.
XI- 40) - Queckenstedt test. Analyzed at chapter XII.
XI- 41) – Sleeping with a small pillow. We had some patients with migraines or glaucoma, who referred
worsening at morning when they had slept with a small pillow. They noted that when using a big
pillow they were better at awakening. A big pillow, provided that it does not disturb the breathing,
causes the head been a little above the body, and this causes a reduction in all fluids' pressures in the
head. We did not made statistics about this.
XI- 42) - Other Etiologies of the Fluids Hypertension Syndromes: There are other etiologies and
personal susceptibilities to the Migraines, to glaucoma, to Benign Intracranial Hypertension and to the
Inner ear’s fluids sicknesses. All etiologies acting together are the cause of the dissimilarities found on
the patients, and even between one and the other eye in the same patient.
We never had patients with Fluids Hypertension Syndromes caused by Vitamin “A”, Tetracycline, or
moderate amount of cheese: only with the wine that usually goes along with the cheese.
We never had cigarette smoking as a direct etiology of the Fluids Hypertension Syndromes. It was
only an indirect etiology, because cigarette smoking is a stimulant to coffee drinks, and coffee is a
strong etiology to the three Fluids Hypertension Syndromes.
The gestational hormones must have some relation with the fluids retention and consequently with
the Fluids' Hypertension Syndromes, but we did not have enough pregnant women to study them.
XI- 43) – Statistics about Etiologies of the Cerebrospinal Fluid Hypertension Syndrome (Benign
Intracranial Hypertension’s Migraines) (Intracranial hypertension without papilledema) (Pseudotumor
cerebri):
From the 931 patients with some migraine, sign or symptom, we selected those with at least one eye
with 0.5 diopters or more edemas in the Optic Nerve’s borders. Out of these patients with evident Benign
Intracranial Hypertension, we found the following etiologies (Table XI-5):
Etiologies for the Cerebrospinal Fluid Hypertension Syndrome
(Migraines and Benign Intracranial Hypertension)
Main Etiologies Our Patients with Migraines